ISSN Печать: 0896-2960
ISSN Онлайн: 2162-6553
Том 32, 2020
Том 31, 2019
Том 30, 2018
Том 29, 2017
Том 28, 2016
Том 27, 2015
Том 26, 2014
Том 25, 2013
Том 24, 2012
Том 23, 2011
Том 22, 2010
Том 21, 2009
Том 20, 2008
Том 19, 2007
Том 18, 2006
Том 17, 2005
Том 16, 2004
Том 15, 2003
Том 14, 2002
Том 13, 2001
Том 12, 2000
Том 11, 1999
Том 10, 1998
Том 9, 1997
Том 8, 1996
Том 7, 1995
Critical Reviews™ in Physical and Rehabilitation Medicine
Review of Lower Extremity Function Following SEMLS in Children with Cerebral Palsy
MGM School of Physiotherapy, MGM Institute of Health Sciences, Navi Mumbai, India
Department of Neurophysiotherapy, Mahatma Gandhi Mission School of Physiotherapy, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India
Head of Therapy, Spastics Society of Tamil Nadu, Chennai, India
Pediatric Orthopedic Surgeon and Director, Children's Orthopedic Centre, MGM Institute of Health Sciences, Navi Mumbai, India
Single-event multilevel surgery (SEMLS) is aimed at improving gait and motor function to optimize movement patterns, promote motor skill acquisition, and improve mobility. Literature informing comprehensive evaluation of post-surgical outcome based on the International Classification of Function (ICF) model (a standard framework for describing and organising information on functioning and disability) are lacking. We have summarized this review to guide clinical practice and have developed recommendations for future research. A literature search was performed in PUBMED, Google Scholar, and Cochrane database in July 2018. We included longitudinal, comparative, cross-sectional, prospective, retrospective, and systematic reviews reporting functional outcomes post-surgery with a mean follow-up period of minimum of 12 months on cohort of children aged 4−18 years with spastic cerebral palsy (CP) were included. We excluded articles reporting upper limb functional outcome, functional outcome of single surgical procedure, surgical approach, and functional outcome of only soft-tissue release. Of 43 extracted studies on post-surgical outcome, 16 met our inclusion criteria. According to the Physiotherapy Evidence Database (PEDro) scale, 4 articles were of high quality and 12 studies were of fair quality. SEMLSs demonstrated improvement in sagittal plane gait kinematics of all three lower extremity joints (hip, knee, ankle). Maximum
improvement of approximately 5−28° was noted in minimum knee flexion (i.e., range of motion, ROM) during the stance phase. Improvement in gait profile score was maintained 5 years post-SEMLS. Mobility on functional mobility scale deteriorated at the first 6-month followup post-SEMLS, followed by an improvement at the 24-month follow-up. Postoperatively,
self-care continued to improve over 18 months. Although improvement was reported in gait, mobility, and self-care, clinically meaningful improvement was not noted in quality of life. Our review suggests that, following SEMLS, improvement is reported in isolated outcome variables of function such as gait, mobility, and self-care. However, comprehensive evaluation of functional outcome needs further evaluation based on the ICF model.
Christensen D, Van Naarden Braun K, Doernberg NS, Maenner MJ, Arneson CL, Durkin MS, Benedict RE, Kirby RS, Wingate MS, Fitzgerald R, Yeargin-Allsopp M. Prevalence of cerebral palsy, cooccurring autism spectrum disorders, and motor functioning-Autism and Developmental Disabilities Monitoring Network, USA, 2008. Develop Med Child Neurol. 2014 Jan;56(1):59-65.
Novak I, Mcintyre S, Morgan C, Campbell L, Dark L, Morton N, Stumbles E, Wilson SA, Goldsmith S. A systematic review of interventions for children with cerebral palsy: state of the evidence. Develop Med Child Neurol. 2013 Oct;55(10):885-910.
McGinley JL, Dobson F, Ganeshalingam R, Shore BJ, Rutz E, Graham HK. Single-event multilevel surgery for children with cerebral palsy: a systematic review. Develop Med Child Neurol. 2012 Feb;54(2):117-28.
Donkervoort M, Roebroeck M, Wiegerink D, Van der Heijden-Maessen H, Stam H. Determinants of functioning of adolescents and young adults with cerebral palsy. Disability Rehabil. 2007 Jan 1;29(6):453-63.
Van Der Slot WM, Nieuwenhuijsen C, Van Den Berg-Emons RJ, Bergen MP, Hilberink SR, Stam HJ, Roebroeck ME. Chronic pain, fatigue, and depressive symptoms in adults with spastic bilateral cerebral palsy. Develop Med Child Neurol. 2012 Sep;54(9):836-42.
Ryan JM, Cassidy EE, Noorduyn SG, O'Connell NE. Exercise interventions for cerebral palsy. Cochrane Database Syst Rev. 2017 Jun 11;6:CD011660.
Tedroff K, Lowing K, Astrom E. A prospective cohort study investigating gross motor function, pain, and health-related quality of life 17 years after selective dorsal rhizotomy in cerebral palsy. Develop Med Child Neurol. 2015 May;57(5):484-90.
DuDley RW, PaRolin M, GaGnon B, Saluja R, Yap R, Montpetit K, Ruck J, Poulin C, Cantin MA, Benaroch TE, Farmer JP. Long-term functional benefits of selective dorsal rhizotomy for spastic cerebral palsy. J Neurosurg Pediatrics. 2013 Aug 1;12(2):142-50.
Jung HJ, Yoon JY, Oh MK, Kim YC, Kim JH, Eom TW, Park KB. Effects of soft tissue surgery on pelvic and hip rotation in patients with spastic diplegia: a meta-analysis. Clin Ortho Surg. 2016 Jun 1;8(2):187-93.
Sung KH, Lee J, Chung CY, Lee KM, Cho BC, Moon SJ, Kim J, Park MS. Factors influencing outcomes after medial hamstring lengthening with semitendinosus transfer in patients with cerebral palsy. J Neuroeng Rehabil. 2017 Dec;14(1):83.
Kim HY, Cha YH, Byun JY, Chun YS, Choy WS. Changes in gait parameters after femoral derotational osteotomy in cerebral palsy patients with medial femoral torsion. J Pediatric Ortho Part B. 2018 May;27(3):194.
Firth GB, Passmore E, Sangeux M, Thomason P, Rodda J, Donath S, Selber P, Graham HK. Multilevel surgery for equinus gait in children with spastic diplegic cerebral palsy: medium-term follow-up with gait analysis. J Bone Joint Surg. 2013 May 15;95(10):931-38.
Lamberts RP, Burger M, Du Toit J, Langerak NG. A systematic review of the effects of single-event multilevel surgery on gait parameters in children with spastic cerebral palsy. PLoS One. 2016 Oct 18;11(10):e0164686.
Rutz E, Baker R, Tirosh O, Brunner R. Are results after single-event multilevel surgery in cerebral palsy durable? Clin Ortho Related Res. 2013 Mar 1;471(3):1028-38.
Terjesen T, Lofterad B, Skaaret I. Gait improvement surgery in ambulatory children with diplegic cerebral palsy: a 5-year follow-up study of 34 children. Acta Orthopaedica. 2015 Jul 4;86(4):511-17.
Steppacher R, North D, Kunzle C, Lengnick H, Klima H, Mundermann A, Wegener R. Retrospective evaluation of changes in gait patterns in children and adolescents with cerebral palsy after multilevel surgery. J Child Neurol. 2018 Jun;33(7):453-62.
Dreher T, Thomason P, Svehlik M, Doderlein L, Wolf SI, Putz C, Uehlein O, Chia K, Steinwender G, Sangeux M, Graham HK. Long-term development of gait after multilevel surgery in children with cerebral palsy: a multicentre cohort study. Develop Med Child Neurol. 2018 Jan;60(1):88-93.
Rutz E, Tirosh O stability of the gross motor function classification system after single event multilevel surgery in children with cerebral palsy. Develop Med Child Neurol. 2012 Dec; 54(12): 1109-13.
Thomason P, Baker R, Dodd K, Taylor N, Selber P, Wolfe R, Graham HK. Single-event multilevel surgery in children with spastic diplegia: a pilot randomized controlled trial. J Bone Joint Surg. 2011 Mar 2;93(5):451-60.
Rutz E, Donath S, Tirosh O, Graham HK, Baker R. Explaining the variability improvements in gait quality as a result of single event multi-level surgery in cerebral palsy. Gait Posture. 2013 Jul 1;38(3):455-60.
Thomason P, Selber P, Graham HK. Single event multi-level surgery in children with bilateral spastic cerebral palsy: 5 year prospective cohort study. Gait Posture. 2013 Jan1;37(1):23-28.
Schranz C, Kruse A, Kraus T, Steinwender G, Svehlik M. Does unilateral single-event multilevel surgery improve gait in children with spastic hemiplegia? A retrospective analysis of a long-term followup. Gait Posture. 2017 Feb 1;52:135-39.
Harvey A, Rosenbaum P, Hanna S, Yousefi-Nooraie R, Graham KH. Longitudinal changes in mobility following single-event multilevel surgery in ambulatory children withcerebral palsy. J Rehabil Med. 2012;44(2):137-143.
Dequeker G, Van Campenhout A, Feys H, Molenaers G. Evolution of self-care and functional mobility after single-event multilevel surgery in children and adolescents with spastic diplegic cerebral palsy. Develop Med Child Neurol. 2018 May;60(5):505-12.
Kondo I, Hosokawa K, Iwata M, Oda A, Nomura T, Ikeda K, Asagai Y, Kohzaki T, Nishimura H. Effectiveness of selective muscle-release surgery for children with cerebral palsy: longitudinal and stratified analysis. Dev Med Child Neurol. 2004; 46:540-47.
Articles with similar content:
Factors Affecting Functional Recovery After Hip Fracture in the Elderly
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.16, 2004, issue 3
Marco Di Monaco
Effectiveness of Craniocervical Flexion Exercise on Pain, Disability, and Cervical Range of Motion in Patients with Neck Pain
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.32, 2020, issue 1
Anna Christakou, George Georgoudis, Aikaterini Evangelia Matsi, Nafsika Atsidakou
Preoperative Low Back Pain Affects Recovery in Knee Flexion Range of Motion Following Total Knee Replacement
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.28, 2016, issue 1-2
Ali Oliashirazi, Christian N. Warner, Hannah M. Ashworth, Saurabh P. Mehta, Franklin D. Shuler
Treatment and Rehabilitation After Hip Fracture in the Elderly
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.19, 2007, issue 2
Yoichi Shimada, Hitoshi Kagaya